摘要
目的探讨多学科合作模式对急性脑卒中患者偏瘫肢体功能恢复的临床效果。方法选取淮南市第一人民医院2016年3月至2017年3月收治的脑卒中偏瘫患者78例,采用随机数字表法分为对照组和观察组各39例,对照组采用神经内科常规治疗和护理,观察组在对照组基础上早期介入多学科合作的康复干预。两组患者经过治疗和多学科合作康复干预后采用Barthel指数评定患者日常生活能力(ADL),分析偏瘫肢体功能的恢复及后遗症情况。结果干预前观察组、对照组的Barthel指数分别为(38.57±3.34)、(38.67±5.17),差异无统计学意义(t=1.78,P>0.05);干预后观察组、对照组的Barthel指数分别为(58.49±2.35)、(47.03±4.46),差异有统计学意义(t=4.36,P<0.05)。观察组的满意率为100.00%,对照组的满意率为82.05%,差异有统计学意义(χ^2=7.69,P<0.01)。结论多学科合作模式早期介入急性期脑卒中患者偏瘫肢体功能康复干预,可明显降低偏瘫肢体后遗症发生率,并可提高少数发生肢体偏瘫患者后期康复治疗的依从性及延续性,对瘫痪肢体功能的恢复起到非常积极有效的作用,并可提高患者的生活质量,值得临床推广。
Objective To investigate the clinical effect of multidisciplinary cooperation model on the recovery of limb function of hemiplegic patients with acute stroke. Methods From March 2016 to March 2017,78 patients with acute stroke hemiplegia in the First People's Hospital of Huainan were selected,and they were randomly divided into observation group and control group according to the digital table,with 39cases in each group.The control group was given conventional treatment and nursing of neurology.The observation group was involved in multidisciplinary cooperative rehabilitation intervention early on the basis of the control group.The Barthel index was used to assess the patients' daily living ability (ADL) after treatment and multidisciplinary cooperative rehabilitation interventions in the two groups,and the recovery of hemiplegia's limb function and sequelae were analyzed. Results Before intervention,the Barthel index of the observation group and the control group were (38.57±3.34) and (38.67±5.17) respectively,and the difference was not statistically significant (t=1.78,P>0.05).After intervention,the Barthel index of the observation group and the control group was (58.49±2.35) and (47.03±4.46),respectively,and the difference was statistically significant(t=4.36,P<0.05).The satisfaction rate of the observation group was 100.00%,which of the control group was 82.05%,the difference between the two groups was statistically significant (χ2=7.69,P<0.01). Conclusion The intervention of multidisciplinary cooperation in the early intervention of hemiplegic limb function rehabilitation in acute stroke patients can obviously reduce the incidence of hemiplegic limb sequelae,and can improve the compliance and continuity of the later rehabilitation treatment of the patients with limb hemiplegia,and play a very active and effective role in the recovery of paralyzed limb function,and can improve the quality of life of patients,it is worthy of popularization and application in clinic.
作者
陈丛侠
Chen Congxia(Department of Neurology,the First People's Hospital of Huainan,Huainan,Anhui 232007,China)
出处
《中国基层医药》
CAS
2018年第24期3189-3192,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
卒中
脑血管障碍
脑性瘫痪
多学科合作模式
肢体功能
生活质量
康复护理
Stroke
Cerebrovascular disorders
Cerebral palsy
Multidisciplinary cooperation model
Limb function
Quality of Life
Rehabilitation nursing
